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SAN JOAQUIN COUNTY PUBLIC HF"LTH SERVICES Page 1 <br />ENVIRONMENTAL HEALTH DIVR 1 <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />209-468-3420 <br />INVOICE Account ID AR0009076� <br />Facility ID FA0006696 <br />Date Printed 7/21/00 <br />CA ARMY NATL GUARD/COMBINES SU RE: CALIF NATL GUARD/COMBINED SUP <br />CALIF NATL GUARD/COMBINED SUPP 8020 S AIRPORT WAY <br />PO BOX 269101 STOCKTON CA 952063999 <br />SACRAMENTO CA 958269101 OWNER: CALIFORNIA ARMY NATIONAL GUA <br />Health <br />Date Program Description Hrs Employee Amount <br />Invoice # IN0069762 --- Date of Invoice : 4/19/00 <br />4/19/2000 2247 RCRA GEN 5<25 TONS $1,400.00 <br />4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br />Total for this Invoice $1,410.00 <br />Payment Due Date 5/26/2000 <br />TOTAL DUE this Billing Periodl $1,410.00 <br />Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br />Penalties will be added to all Permit Fees For all SERVICE FEES <br />at the Rate of 100% of the Base Fee Penalties will be added at the Rate oJ'10 <br />30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br />PAYMENT <br />RECEIVED <br />JUL 2 12000 <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />5255. rpt <br />